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Prostat kanseri ile ilişkili kemik metastazlarının üstesinden gelmek için intravenöz (IV) zoledronik asit ile tedavi edilmiş 80 yaşında bir erkek hastada maksilla da nadir görülen bir osteonekroz olgusunu sunmayı amaçladık.80 yaşındaki bir erkek hasta kliniğimize sol maksillasında ağrı şikâyeti ile başvurdu. Medikal hikâyesinde 2006 yılında iki taraflı Orşidektomi operasyonu geçirmiş kemik metastazlı prostat kanseri olduğu öğrenildi. Hasta kemoterapi almıştır ve daha sonra iki yıl öncesinde de IV zoledrononik asit ile bifosfonat tedavisi almıştır. Hastanın 1 yıl önce ağrıdan şikâyet ettiği bölgesinden diş çekimi yapıldığı öğrenilmiştir.Hastanın intraoral muayenesinde sol üst kaninden sol dişsiz posterior maksillaya kadar olan bölgede nekrotik kemik varlığı tespit edildi. Panoramik radyografta, ilgili bölgede radyolüsent alan gözlendi. Daha fazla inceleme için, konik ışınlı bilgisayarlı tomografi (KIBT) alındı ve sol üst maksiller bölgede sekestr ve osteolizis varlığı tespit edildi. Spesifik olmayan, yumuşak doku yoğunluğunda artmış sol maksiller sinüzit tespit edildi. Medikal hikâye, klinik ve KIBT tarama incelemesi göz önüne alındığında, hastaya evre 3 osteonekroz tanısı kondu. Ağız, Diş ve Çene Cerrahisi bölümünde nekroz olan bölgesinin debridmanı yapılmış olup, sonrasında Protetik Diş Tedavisi bölümünde ilgili bölgenin protetik rehabilitasyonu sağlanmıştır.Bu vaka Ağız, Diş Ve Çene Radyolojisi uzmanları, Ağız, Diş ve Çene Cerrahisi uzmanları ile Kulak Burun Boğaz uzmanlarının çene osteonekrozu tanısında ve tedavisinde önemli rolü olduğunu vurgulamakta ve bu durumun değişken belirti ve bulgularını ortaya koymasının farkındalığına ihtiyaç duyulduğunu göstermektedir.
In order to overcome bone metastases associated with prostate cancer, we aimed at presenting a rare osteonekrosis phenomenon in a 80-year-old male patient who was treated with intravenous (IV) zoledronic acid.A 80-year-old male patient applied to our clinic with a pain complaint in the left. In his medical history, it was found that in 2006 he was undergoing a two-sided orchidectomy surgery with bone metastases prostate cancer. The patient received chemotherapy and two years ago he was also treated with IV zoledronic acid by bifosphonate. The patient was diagnosed with a dental screening from the area in which the patient complained of pain 1 year ago.In the patient's intraoral examination, a necrotic bone presence was detected in the area, from the left top blood to the left non-dental posterior maxillate. In the panoramic radiograph, the radio-losing area was observed in the area concerned. For further examination, a conic radiated computer tomography (KIBT) was taken and the presence of secrecy and osteolysis in the left upper axis area was detected. Non-specific, soft tissue intensity increased left-handed sinusitis was detected. Considering medical history, clinical and KIBT screening studies, the patient was diagnosed with stage 3 osteonekrosis. A debridment of the area with necrosis in the oral, dental and chest surgery department has been made, and then protetic rehabilitation of the area concerned has been provided in the Protetic Dental Therapy department. This case emphasizes that oral, dental and chest radiology specialists, oral, dental and chest surgery specialists and ear nose throat specialists play an important role in the diagnosis and treatment of chest osteonekrosis and indicate the need for awareness of the variable signs and findings of this condition.
We aimed to present a rare case of osteonecrosis in the maxilla in an 80-year-old male patient treated with intravenous (IV) zoledronic acid to overcome bone metastases associated with prostate cancer. An 80-year-old male patient was admitted to our clinic with pain in his left maxilla. In his medical history, it was learned that he had bilateral Orchidectomi operation in 2006 with bone metastasis. The patient received chemotherapy and then received bisphosphonate treatment with IV zoledrononic acid two years ago. It was learned that tooth extraction was made from the region where the patient complained of pain 1 year ago. In the intraoral examination of the patient, the presence of necrotic bone was detected in the region from the left upper canine to the posterior maxilla of the left toothless. On the panoramic radiograph, radiolucent area was observed in the relevant region. For further investigation, cone beam computed tomography (CBCT) was taken, and sequester and presence of osteolysis were detected in the upper left maxillary region. Nonspecific, soft tissue density increased left maxillary sinusitis was detected. Considering the medical history, clinical and CBCT examination, the patient was diagnosed with stage 3 osteonecrosis. In the Oral and Maxillofacial Surgery department, the necrosis region was debrided and afterwards, the prosthetic rehabilitation of the relevant region was provided in the Prosthetic Dentistry department. This case emphasizes that oral and dentomaxillofacial radiologists and maxillofacial surgeons, and otolaryngologists play an important role in the diagnosis and treatment of osteonecrosis of the jaw and show that there is a need for awareness that this situation reveals variable signs and symptoms.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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